Organization
FAXTON-SUNSET ST. LUKE'S HEALTH CARE CENTER INC
Active
Other names
Heritage Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES A LEWIS (ADMINISTRATOR)
(315) 797-7392
Entity
Organization
Contact information
Practice address
1657 SUNSET AVE, UTICA, NY 13502-5415
(315) 797-7392
(315) 797-8267
Mailing address
1657 SUNSET AVE, UTICA, NY 13502-5415
(315) 797-7392
(315) 797-8267
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3202314N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00474355
—
NY
Enumeration date
09/21/2006
Last updated
09/09/2015
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